GENOCARE: A Prospective, Randomized Clinical Trial of Genotype-Guided Dosing Versus Usual Care

NCT ID: NCT05391126

Last Updated: 2025-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

178 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-28

Study Completion Date

2027-05-31

Brief Summary

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This is a prospective, randomized study designed to compare genotype-guided dosing to usual care in patients with pancreas cancer and colorectal cancer who are UGT1A1 intermediate metabolizers (\*1/\*28) (heterozygotes) and usual UGT metabolizers (\*1/\*1). All patients will be assessed for UGT1A1 genotype at screening and those with intermediate or usual UGT1A1 genotypes (\*1/\*28, \*1/\*1) will be randomized to genotype-guided dosing versus usual care.

Detailed Description

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Conditions

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Colorectal Cancer Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Genocare Guided

Group Type EXPERIMENTAL

Irinotecan

Intervention Type DRUG

Usual dosing per package insert.

Usual Care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Irinotecan

Usual dosing per package insert.

Intervention Type DRUG

Other Intervention Names

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Nano-liposomal Irinotecan Onyvide

Eligibility Criteria

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Inclusion Criteria

* Patients must have histologically confirmed stage I-IV pancreas or stage III-IV colorectal cancer who are planning to undergo treatment.
* Prior treatment is allowed, specifically surgery and/or radiation and non-irinotecan containing regimens are allowed.
* Age ≥ 18 years.
* ECOG performance status ≤ 1.
* Patients must have adequate organ and marrow function as defined below:
* Measurable or non-measurable disease.

Exclusion Criteria

* Patients who received prior treatment with irinotecan are excluded.
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with targeted therapy, in the opinion of the treating physician.
* Pregnant women are excluded from this study.
* Patients who are not planned for treatment of their cancer.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Reema A. Patel

OTHER

Sponsor Role lead

Responsible Party

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Reema A. Patel

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Reema A Patel, MD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Locations

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University of Kentucky

Lexington, Kentucky, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Reema A Patel, MD

Role: CONTACT

8592186650

Facility Contacts

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Yvonne Taul

Role: primary

859-323-2354

Other Identifiers

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MCC-22-GI-125-PMC

Identifier Type: -

Identifier Source: org_study_id